Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.72 / $9,577.00 / $14,552.94	Facility		$138.72	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $109.72 / $446.10	Professional		$41.61	$109.72	$446.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $162.40 / $305.63	Professional		$162.40	$162.40	$305.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $325.08 / $624.54	Facility		$57.97	$325.08	$624.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $294.76 / $611.92	Professional		$132.53	$294.76	$611.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $348.75 / $570.00	Professional		$186.30	$348.75	$570.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $325.08 / $624.54	Facility		$57.97	$325.08	$624.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $263.58 / $570.00	Professional		$97.58	$263.58	$570.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.50 / $244.50 / $368.85	Professional		$244.50	$244.50	$368.85